Johnson, David W.
Johnson, David W. is an individual health care provider with primary practice located at 3111 San Pedro Ave , San Antonio TX 78212-2246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Johnson, David W. can be contacted via phone (210) 732-7141.Contact Information
Primary practice address
3111 San Pedro Ave
San Antonio TX 78212-2246
Phone: (210) 732-7141
Fax: (210) 732-5350
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | F3185 | Texas |
Profile Details
NPI number | 1326061011 |
---|---|
LBN Legal business name | Johnson, David W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Jun 5th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326061011 | NPPES |
Texas | MEDICAID | PO#130327303 | |
Texas | MEDICAID | 130327306 |
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